The Biobehavioral Family Model: Testing Social Support as an Additional Exogenous Variable.

This study tests the inclusion of social support as a distinct exogenous variable in the Biobehavioral Family Model ( BBFM). The BBFM is a biopsychosocial approach to health that proposes that biobehavioral reactivity (anxiety and depression) mediates the relationship between family emotional climat...

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Publicado en:Family Process Vol. 53; no. 4; pp. 672 - 686
Autores principales: Woods, Sarah B., Priest, Jacob B., Roush, Tara
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Dec2014
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2014
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: The Biobehavioral Family Model: Testing Social Support as an Additional Exogenous Variable.
      aug:
        au:
          Woods, Sarah B.
          Priest, Jacob B.
          Roush, Tara
        affil: Department of Family Sciences, Texas Woman's University
      sug:
        subj:
          Depression
          Health Status
          Support, Psychosocial
          Biological Psychiatry
          Family Relations
          Human
          Funding Source
          Factor Analysis
          Descriptive Statistics
          Goodness of Fit Chi Square Test
          Cross Sectional Studies
          Survey Research
          Male
          Female
          Adult
          Middle Age
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: This study tests the inclusion of social support as a distinct exogenous variable in the Biobehavioral Family Model ( BBFM). The BBFM is a biopsychosocial approach to health that proposes that biobehavioral reactivity (anxiety and depression) mediates the relationship between family emotional climate and disease activity. Data for this study included married, English-speaking adult participants ( n = 1,321; 55% female; M age = 45.2 years) from the National Comorbidity Survey Replication, a nationally representative epidemiological study of the frequency of mental disorders in the United States. Participants reported their demographics, marital functioning, social support from friends and relatives, anxiety and depression (biobehavioral reactivity), number of chronic health conditions, and number of prescription medications. Confirmatory factor analyses supported the items used in the measures of negative marital interactions, social support, and biobehavioral reactivity, as well as the use of negative marital interactions, friends' social support, and relatives' social support as distinct factors in the model. Structural equation modeling indicated a good fit of the data to the hypothesized model (χ2 = 846.04, p = .000, SRMR = .039, CFI = .924, TLI = .914, RMSEA = .043). Negative marital interactions predicted biobehavioral reactivity (β = .38, p < .001), as did relatives' social support, inversely (β = −.16, p < .001). Biobehavioral reactivity predicted disease activity (β = .40, p < .001) and was demonstrated to be a significant mediator through tests of indirect effects. Findings are consistent with previous tests of the BBFM with adult samples, and suggest the important addition of family social support as a predicting factor in the model.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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